| NPI | 1528318854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 3149) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2020-11-16 |